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Individual

ATSUKO MAGNUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7110 SW HAZELFERN RD, TIGARD, OR 97224-7776
(503) 431-3200
Mailing address
7247 CHILDS RD, LAKE OSWEGO, OR 97035-7820
(503) 901-3430

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5625
OR

Other

Enumeration date
12/21/2018
Last updated
12/21/2018
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